功能性盆底肌训练对女性压力性尿失禁患者的效果OA
Effect of functional pelvic floor muscle training on stress urinary incontinence in women
目的 观察功能性盆底肌训练对女性压力性尿失禁(SUI)患者盆底肌功能、尿失禁症状和生活质量的影响. 方法 2024年2月至2025年7月,通过北京博爱医院妇科门诊就诊及广告招募女性SUI患者40例,随机分为对照组(n=20)和试验组(n=20).对照组行常规盆底肌自主收缩放松训练,试验组行功能性盆底肌自主收缩放松训练,共8周.训练前后收集盆底肌徒手肌力、盆底肌表面肌电(sEMG)、1 h尿垫试验和尿失禁生活质量问卷(I-QOL)的数据,训练后统计依从率. 结果 对照组脱落1例,试验组脱落3例.治疗后,两组盆底肌肌力明显增加(|Z|>3.317,P<0.01),对照组sEMG中前静息平均值、持续收缩平均值、耐久收缩平均值均改善(|t|>2.731,P<0.05),两组1 h尿垫试验质量均显著减小(t>9.215,P<0.001),I-QOL评分显著增加(|t|>13.229,P<0.001);与对照组相比,试验组盆底肌肌力明显增加(Z=-2.281,P<0.05),1 h尿垫试验质量显著减小(t=4.215,P<0.001)、I-QOL评分显著增加(t=-4.501,P<0.001),依从率明显增加(Z=-2.798,P<0.01). 结论 功能性盆底肌训练能改善女性SUI患者的盆底肌肌力、失禁症状和生活质量.
Objective To observe the effect of functional pelvic floor muscle training on pelvic floor muscle function,incontinence symptoms and quality of life in female patients with stress urinary incontinence(SUI). Methods From February,2024 to July,2025,40 female patients with SUI were recruited from Beijing Bo'ai Hospital and advertisements.They were randomly divided into control group(n=20)and experimental group(n=20).The control group received conventional pelvic floor muscle contraction and relaxation training,and the experi-mental group received functional pelvic floor muscle contraction and relaxation training,for eight weeks.The da-ta of pelvic floor muscle strength,pelvic floor muscle surface electromyography(sEMG),1-hour urine pad test and Incontinence Quality of Life questionnaire(I-QOL)were collected before and after training.The compliance rate was counted after training. Results One case dropped down in the control group and three cases dropped down in the experimental group.After treatment,the pelvic floor muscle strength increased in both groups(|Z|>3.317,P<0.01),the pre-resting aver-age value,sustained contraction average value and durable contraction average value of sEMG improved in the control group(|t|>2.731,P<0.05),the mass of 1-hour urine pad significantly reduced(t>9.215,P<0.001)and the I-QOL score significantly increased(|t|>13.229,P<0.001)in both groups;compared with the control group,the pelvic floor muscle strength significantly increased(Z=-2.281,P=0.023),the mass of 1-hour urine pad significantly reduced(t=4.215,P<0.001),the I-QOL score significantly increased(t=-4.501,P<0.001),and the compliance rate significantly increased(Z=-2.798,P<0.01)in the experimental group. Conclusion Functional pelvic floor muscle training can significantly improve pelvic floor muscle strength,incontinence symptoms and quality of life in female patients with SUI.
李亚楠;叶淼;吴娟;陈聪;万玲芳;于丽丽;高琳琳;秦屹;靖华芳
中国康复研究中心北京博爱医院,运动疗法二科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院,运动疗法二科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院,泌尿康复科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院,运动疗法二科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院,运动疗法二科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院,运动疗法二科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院,泌尿康复科,北京市 100068中国康复研究中心北京博爱医院,妇科,北京市 100068中国康复研究中心北京博爱医院,泌尿康复科,北京市 100068
医药卫生
压力性尿失禁盆底功能功能性活动功能性盆底肌训练
stress urinary incontinencepelvic floor functionfunctional activitiesfunctional pelvic floor muscle training
《中国康复理论与实践》 2026 (6)
690-698,9
中国康复研究中心项目(No.2023ZX-05)Supported by China Rehabilitation Research Center Research Project(No.2023ZX-05)
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